Countries from Natural Earth 50M scale data with a Human Development Index attribute, repeated for each of the following years: 1980, 1985, 1990, 1995, 2000, 2005, 2010, & 2013, to enable time-series display using the YEAR attribute. The Human Development Index measures achievement in 3 areas of human development: long life, good education and income. Specifically, the index is computed using life expectancy at birth, Mean years of schooling, expected years of schooling, and gross national income (GNI) per capita (PPP $). The United Nations categorizes the HDI values into 4 groups. In 2013 these groups were defined by the following HDI values: Very High: 0.736 and higher High: 0.615 to 0.735 Medium: 0.494 to 0.614 Low: 0.493 and lower

Human Development Index attributes are from The World Bank: HDRO calculations based on data from UNDESA (2013a), Barro and Lee (2013), UNESCO Institute for Statistics (2013), UN Statistics Division (2014), World Bank (2014) and IMF (2014).

Abstract

The authors combine data from 84 Demographic and Health Surveys from 46 countries to analyze trends and socioeconomic differences in adult mortality, calculating mortality based on the sibling mortality reports collected from female respondents aged 15-49.

The analysis yields four main findings. First, adult mortality is different from child mortality: while under-5 mortality shows a definite improving trend over time, adult mortality does not, especially in Sub-Saharan Africa. The second main finding is the increase in adult mortality in Sub-Saharan African countries. The increase is dramatic among those most affected by the HIV/AIDS pandemic. Mortality rates in the highest HIV-prevalence countries of southern Africa exceed those in countries that experienced episodes of civil war. Third, even in Sub-Saharan countries where HIV-prevalence is not as high, mortality rates appear to be at best stagnating, and even increasing in several cases. Finally, the main socioeconomic dimension along which mortality appears to differ in the aggregate is gender. Adult mortality rates in Sub-Saharan Africa have risen substantially higher for men than for women?especially so in the high HIV-prevalence countries. On the whole, the data do not show large gaps by urban/rural residence or by school attainment.

This paper is a product of the Human Development and Public Services Team, Development Research Group. It is part of a larger effort by the World Bank to provide open access to its research and make a contribution to development policy discussions around the world. Policy Research Working Papers are also posted on the Web at http://econ.worldbank.org.

Geographic coverage

We derive estimates of adult mortality from an analysis of Demographic and Health Survey (DHS) data from 46 countries, 33 of which are from Sub-Saharan Africa and 13 of which are from countries in other regions (Annex Table). Several of the countries have been surveyed more than once and we base our estimates on the total of 84 surveys that have been carried out (59 in Sub-Saharan Africa, 25 elsewhere).

The countries covered by DHS in Sub-Saharan Africa represent almost 90 percent of the region's population. Outside of Sub-Saharan Africa the DHS surveys we use cover a far smaller share of the population-even if this is restricted to countries whose GDP per capita never exceeds $10,000: overall about 14 percent of the population is covered by these countries, although this increases to 29 percent if China and India are excluded (countries for which we cannot calculate adult mortality using the DHS). It is therefore important to keep in mind that the sample of non-Sub-Saharan African countries we have cannot be thought of as "representative" of the rest of the world, or even the rest of the developing world.

Analysis unit

Country

Kind of data

Sample survey data [ssd]

Mode of data collection

Face-to-face [f2f]

Cleaning operations

In the course of carrying out this study, the authors created two databases of adult mortality estimates based on the original DHS datasets, both of which are publicly available for analysts who wish to carry out their own analysis of the data.

The naming conventions for the adult mortality-related are as follows. Variables are named:

GGG_MC_AAAA

GGG refers to the population subgroup. The values it can take, and the corresponding definitions are in the following table:

All - All Fem - Female Mal - Male Rur - Rural Urb - Urban Rurm - Rural/Male Urbm - Urban/Male Rurf - Rural/Female Urbf - Urban/Female Noed - No education Pri - Some or completed primary only Sec - At least some secondary education Noedm - No education/Male Prim - Some or completed primary only/Male Secm - At least some secondary education/Male Noedf - No education/Female Prif - Some or completed primary only/Female Secf - At least some secondary education/Female Rch - Rural as child Uch - Urban as child Rchm - Rural as child/Male Uchm - Urban as child/Male Rchf - Rural as child/Female Uchf - Urban as child/Female Edltp - Less than primary schooling Edpom - Primary or more schooling Edltpm - Less than primary schooling/Male Edpomm - Primary or more schooling/Male Edltpf - Less than primary schooling/Female Edpomf - Primary or more schooling/Female Edltpu - Less than primary schooling/Urban Edpomu - Primary or more schooling/Urban Edltpr - Less than primary schooling/Rural Edpomr - Primary or more schooling/Rural Edltpmu - Less than primary schooling/Male/Urban Edpommu - Primary or more schooling/Male/Urban Edltpmr - Less than primary schooling/Male/Rural Edpommr - Primary or more schooling/Male/Rural Edltpfu - Less than primary schooling/Female/Urban Edpomfu - Primary or more schooling/Female/Urban Edltpfr - Less than primary schooling/Female/Rural Edpomfr - Primary or more schooling/Female/Rural

M refers to whether the variable is the number of observations used to calculate the estimate (in which case M takes on the value "n") or whether it is a mortality estimate (in which case M takes on the value "m").

C refers to whether the variable is for the unadjusted mortality rate calculation (in which case C takes on the value "u") or whether it adjusts for the number of surviving female siblings (in which case C takes on the value "a").

AAAA refers to the age group that the mortality estimate is calculated for. It takes on the values: 1554 - Ages 15-54 1524 - Ages 15-24 2534 - Ages 25-34 3544 - Ages 35-44 4554 - Ages 45-54

Other variables that are in the databases are:

period - Period for which mortality rate is calculated (takes on the values 1975-79, 1980-84 … 2000-04) svycountry - Name of country for DHS countries ccode3 - Country code u5mr - Under-5 mortality (from World Development Indicators) cname - Country name gdppc - GDP per capita (constant 2000 US$) (from World Development Indicators) gdppcppp - GDP per capita PPP (constant 2005 intl $) (from World Development Indicators) pop - Population (from World Development Indicators) hivprev2001 - HIV prevalence in 2001 (from UNAIDS 2010) region - Region

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As of 2024, South Africa's population increased, counting approximately 63 million inhabitants. Of these, roughly 27.5 million were aged 0-24, while 654,000 people were 80 years or older. Gauteng and Cape Town are the most populated Although South Africa’s yearly population growth has been dropping since 2013, the growth rate still stood above the world average in 2021. That year, the global population increase reached 0.94 percent, while for South Africa, the rise was 1.23 percent. The majority of the people lived in the borders of Gauteng, the smallest of the nine provinces in land area. The number of people residing there amounted to 15.9 million in 2021. Although Western Cape was the third-largest province, one of it cities, Cape Town, had the highest number of inhabitants in the country, at 3.4 million. An underemployed younger population South Africa has a large population under 14, who will be looking for job opportunities in the future. However, the country's labor market has had difficulty integrating these youngsters. Specifically, as of the third quarter of 2022, the unemployment rate reached close to 60 percent and 42.9 percent among people aged 15-24 and 25-34 years, respectively. In the same period, some 25 percent of the individuals between 15 and 24 years were economically active, while the labor force participation rate was higher among people aged 25 to 34, at 71.2 percent.